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Individual
NICOLE BRUGGER
Active
Individual
NICOLE BRUGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2029
NH
363A00000X
Physician Assistant
PA5846
MA
363AM0700X
Medical Physician Assistant
004568
CT
Other
Enumeration date
08/20/2016
Last updated
05/26/2023
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